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Live Case #8: BTK arteries angioplasty

Dr Palena & Dr Morelli

Endovascular / Lower limbs / Btk-bta / Case in the box

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Male, 83 y-o,

Type 2 diabetes, Ischemic heart disease (PTCA) and dyslipidemia.
Left Critical limb ischemia. Previous amputation of the V toe. Rest pain and TcPO2: 11 mmHg.
Previous antegrade attempt to treat ATA, fails.
Retrograde access followed by ante-retro

Strategy:

Antegrade 6F access.
Distal AT retrograde access (micro-punture set – CXI support catheter), endoluminal-subintimal recanalization of AT.
Hydro ST guide wire. Advance LP Balloon PTA at 2.5-3 mm.
PTA of SFA and POP 5 mm.

Shooting date : 2018-03-23
Last update : 2021-06-09

Luis Mariano Palena

Abano Terme, Italy

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Luis Gerardo Morelli Alvarez

San Jose, Costarica

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